F: The Effect of E-Module-Based Contraceptive Education on Contraceptive Decisions of Women of Childbearing Age
Abstract
This systematic review aimed to examine the effectiveness of e-module–based contraceptive education in supporting informed contraceptive decision-making among women of reproductive age. A systematic review was conducted in accordance with PRISMA guidelines. Searches were performed in PubMed, ScienceDirect, ProQuest, and Google Scholar. Eligible studies were original quantitative or mixed-method research involving women of reproductive age, using e-module or digital contraceptive education, and reporting outcomes related to decision-making, knowledge, attitudes, or contraceptive choice. Data were synthesized narratively The findings showed that e-module–based contraceptive education improved knowledge, attitudes, and the quality of contraceptive decision-making. Several studies reported reduced decisional conflict, higher satisfaction, and better alignment of contraceptive choices with individual needs. Overall, digital education demonstrated comparable or greater effectiveness than conventional counseling. E-module–based contraceptive education is an effective strategy to enhance informed decision-making among women of reproductive age. Its integration into nursing practice and family planning services may support patient-centered care and improve reproductive health outcomes. Further high-quality studies are needed to evaluate long-term effects.
References
Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN). Laporan Kinerja Program Kependudukan, Keluarga Berencana, dan Pembangunan Keluarga. Jakarta; 2021.
World Health Organization. Family planning/Contraception methods. Geneva: WHO.; 2018.
Hall KS, McDermott Sales J, Komro KA, Santelli J. The State of Sex Education in the United States. Vol. 58, Journal of Adolescent Health. Elsevier USA; 2016. p. 595–7.
Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia. Jakarta; 2020.
Glanz K, RBK, & VK. Health Behavior: Theory, Research, and Practice. San Francisco: Jossey-Bass. In 2016.
Widodo A,, Nursalam. Pemanfaatan media digital dalam pendidikan kesehatan. Jurnal Keperawatan. Vols. 12(2), 85–92. 2020.
Bailey J V, Murray E, Rait G, Mercer CH, Morris RW, Peacock R, et al. Interactive computer-based interventions for sexual health promotion. Cochrane Database of Systematic Reviews. 2010 Sep 8;
Dehlendorf C, Fitzpatrick J, Fox E, Holt K, Vittinghoff E, Reed R, et al. Cluster randomized trial of a patient-centered contraceptive decision support tool, My Birth Control. Am J Obstet Gynecol. 2019 Jun 1;220(6):565.e1-565.e12.
Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (prisma-p) 2015: Elaboration and explanation. Vol. 349, BMJ (Online). BMJ Publishing Group; 2015.
Kus LH, Paul R, Nigaglioni Rivera A, Zeal C, Madden T. Improvement in contraceptive knowledge after using an online educational resource. Contraception. 2023 Oct 1;126.
Zeal C, Paul R, Dorsey M, Politi MC, Madden T. Young women’s preferences for contraceptive education & development of an online educational resource. PEC Innovation. 2022 Dec 1;1.
Aryvia NS, Hestiyana N, Mahdiyah D, Lathifah N. Improving the knowledge women of reproductive age about contraception through use of Klik KB. Health Sciences International Journal. 2025 Aug 31;3(2):144–54.
Feriani P, Yunitasari E, Efendi F, Krisnana I, Ernawati R, Tianingrum NA, et al. A Systematic Review of Determinants Influencing Family Planning and Contraceptive Use. Iran J Nurs Midwifery Res. 2024;29(5):596–607.
Pazol K, Zapata LB, Tregear SJ, Mautone-Smith N, Gavin LE. Impact of Contraceptive Education on Contraceptive Knowledge and Decision Making: A Systematic Review. Vol. 49, American Journal of Preventive Medicine. Elsevier Inc.; 2015. p. S46–56.
Goueth RC, Maki KG, Babatunde A, Eden KB, Darney BG. Effects of technology-based contraceptive decision aids: a systematic review and meta-analysis. Vol. 227, American Journal of Obstetrics and Gynecology. Elsevier Inc.; 2022. p. 705-713.e9.
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